Organization
JACE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINA O AKPOM (ADMINISTRATOR)
(919) 760-9013
Entity
Organization
Contact information
Practice address
1921 WATERS DR, RALEIGH, NC 27610-4836
(919) 760-9013
Mailing address
1921 WATERS DR, RALEIGH, NC 27610-4836
(919) 760-9013
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL092895
NC
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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